Organization · Type 2 NPI

Medsurant, LLC

Clinical Neurophysiology Physician · Conshohocken, PA

NPI number 1912235607 Active

Practice location

300 Conshohocken State Rd Ste 450
Conshohocken, PA 19428-3801

Call (484) 351-8459 Map

Fax (484) 351-8810

Mailing address

1141 N Loop 1604 E Ste 105-484
San Antonio, TX 78232-1339

Specialties and licenses

TaxonomyCodeLicense
Electrodiagnostic Medicine Physician 204R00000XNone listed
Neurology Physician 2084N0400XNone listed
Clinical Neurophysiology Physician Primary 2084N0600XNone listed
Electroneurodiagnostic Specialist/Technologist 246ZE0600XNone listed

Clinical Neurophysiology Physician: Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS).

4 other providers at this address

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About NPI 1912235607

Medsurant, LLC's National Provider Identifier is 1912235607, issued on Nov 18, 2009. The primary taxonomy on file is Clinical Neurophysiology Physician (2084N0600X), and the practice location is in Conshohocken, PA. The record was last updated on Aug 11, 2026.